Use of computed tomography abdomen and pelvis for investigation of febrile neutropenia in adult haematology patients. Issue 11 (November 2016)

• Record Type: Journal Article
• Authors: Lim, H. Y.; Ashby, M.; Williams, B.; Grigg, A.
• Is Part Of: Internal medicine journal. Volume 46:Issue 11(2016)
• Page Start: 1332
• Page End: 1336
• Publication Date: 2016-11
• Subjects: computed tomography -- febrile neutropenia -- autologous stem cell transplant -- acute myeloid leukaemia; Medicine -- Periodicals; 616
• DOI: 10.1111/imj.13235
• Languages: English
• ISSNs: 1444-0903

Abstract

Abstract : We retrospectively evaluated the use of computed tomography abdomen and pelvis (CTAP) in febrile neutropenic autologous stem cell transplant (ASCT) and acute myeloid leukaemia (AML) patients. CTAP was more common in ASCT patients (59%) compared with AML (31%; P < 0.001). Although abnormal findings were reported in 51%, only 10% resulted in therapy change (addition of anaerobic antibiotic/bowel rest), which would have otherwise been instituted based on clinical grounds. CTAP in these patients rarely provide useful information unsuspected clinically.